Community Service Registration
Please complete the community service form. Please call 704-264-6536 ext. 108 to schedule your orientation and start date. All volunteers must pre-schedule their start date with the ReStore Manager; walk-ins are not permitted.
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Offense Information
Certain charges are an automatic disqualification for any individual interested in completing community service at the ReStore. At this time we ONLY accept traffic violations.
Will your charges disqualify you?
*
Yes
No
How many hours of community service must be completed?
*
When must the community service be completed by?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What days are you available?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What hours are you available? Please note that a minimum 4 hour window is required.
*
Any additional comments.
Submit
Should be Empty: